Attitude Matters

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Medical Form

Please complete all fields

All medical information is treated in the strictest confidence

Date of Birth
Address
Telephone Contact
 

Please detail any medical condition, including allergies, instructors should be aware of which might affect your child's performanceor safety on the course.

Will your child have taken any medication instructors should be aware of?

Has your child had a tetanus injection in the last 5 years?
  Please provide your child's GP's telephone contact.
  No instructors will administer any medications to children other than homoeopathic first aid remedies. If a child is ill, attendance needs to be postponed.
  I give permission for homoeopathic first aid remedies to be given to my child.
 

Please write: I (your full name) am the legal parent / guardian for (child's name.)




 

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